首页|GLIM标准下老年重症脑卒中患者营养不良现状及影响因素分析

GLIM标准下老年重症脑卒中患者营养不良现状及影响因素分析

Analysis of the status and influencing factors of malnutrition in elderly patients with severe stroke based on the GLIM criteria

扫码查看
目的 通过使用全球领导人营养不良倡议(GLIM)诊断标准来调查老年重症脑卒中患者的营养状况及其影响因素.方法 选取2023年3月至10月于合肥市某三级甲等医院就诊且符合标准的112例老年重症脑卒中患者为研究对象.采用GLIM标准对患者的营养状况进行评价,收集患者的一般资料、血常规及生化指标,进行Logistic回归分析确定其影响因素.结果 112例老年重症脑卒中患者营养不良的发生率为42.86%(48/112),其中重度营养不良的发生率达9.82%(11/112).Logistic回归分析显示,年龄(OR=0.884)、体质量指数(BMI)(OR=1.921)、糖尿病病史(OR=0.238)、血清白蛋白(OR=2.603)和血红蛋白(OR=1.400)为老年重症脑卒中患者营养不良的独立影响因素(P<0.05).结论 老年重症脑卒中患者营养不良发生率较高,提示临床医务人员需加强对患者的营养筛查与评估,并依据危险因素制定干预方案,以改善患者营养状况与预后.
Objective To investigate the nutritional status and its influencing factors in elderly patients with severe stroke using the Global Leadership Initiative on Malnutrition(GLIM)diagnostic criteria.Methods A total of 112 elderly patients with severe stroke who met the criteria and were admitted to a grade A tertiary hospital in Hefei from March to October 2023 were selected as study subjects.The nutritional status of the pa-tients was evaluated using the GLIM criteria,and general information,blood routine,and biochemical indica-tors were collected,and Logistic regression analysis was performed to identify the influencing factors.Results The incidence of malnutrition among the 112 elderly patients with severe stroke was 42.86%(48/112),with a severe malnutrition rate of 9.82%(11/112).Logistic regression analysis revealed that age(OR=0.884),body mass index(BMI)(OR=1.921),history of diabetes(OR=0.238),serum albumin(OR=2.603),and hemoglobin(OR=1.400)were independent influencing factors for malnutrition in elderly patients with severe stroke(P<0.05).Conclusion The incidence of malnutrition is high among elderly patients with se-vere stroke,suggesting that clinical healthcare professionals should strengthen nutritional screening and assess-ment of these patients and develop intervention programs based on risk factors to improve their nutritional sta-tus and prognosis.

strokeelderlymalnutritionGlobal Leadership Initiative on Malnutrition

张莹、潘爱红、王雨晴、吴梦兰

展开 >

皖南医学院研究生学院,安徽 芜湖 231002

安徽医科大学第三附属医院,安徽 合肥 230061

卒中 老年人 营养不良 全球领导人营养不良倡议

2024

右江民族医学院学报
右江民族医学院

右江民族医学院学报

影响因子:0.708
ISSN:1001-5817
年,卷(期):2024.46(6)